Remote Revenue Cycle Manager - Medical Billing & Cash Flow

Pediatric Associates Family of Companies; Oregon; Hybrid; USD 90.000 - 120.000; Vollzeit

Zusammenfassung

Pediatric Associates Family of Companies is seeking a Revenue Cycle Management leader to plan, organize, and manage front-office activities and lead policy development for RCM. You will drive cash collections, reduce days in accounts receivable, and ensure compliance with HIPAA and corporate guidelines.

The role includes supervising the RCM team, developing billing strategies for capitated and Medicaid FFS, coordinating with payers, and reporting metrics to leadership.

Qualifikationen

• Experience in supervisory or management in a medical environment preferred.
• Knowledge of billing and collection policies and procedures across all types of insurance (HMO, PPO, POS, Medicaid, etc.).
• Capitated agreements and Medicaid FFS expertise required.

Aufgaben

• Develops internal billing and collection policies to meet financial goals.
• Ensure cash collections and manage days in accounts receivable.
• Oversee productivity audits and monthly data reporting.
• Hire, train, and supervise management staff to meet department goals.
• Coordinate with payers to optimize reimbursements and handle appeals as needed.
• Maintain HIPAA compliance and confidentiality.
• Foster effective communication with front office and management.
• Represent the company to professional organizations and community.

Kenntnisse

Billing policy knowledge

Capitated agreements

Data interpretation

Communication skills

Ausbildung

High school diploma or equivalent

Tools

Microsoft Office

E-Medsys

Zirmed

Payer Websites

Jobbeschreibung

Pediatric Associates Family of Companies is seeking a Revenue Cycle Management leader to plan, organize, and manage front-office activities and lead policy development for RCM. You will drive cash collections, reduce days in accounts receivable, and ensure compliance with HIPAA and corporate guidelines.

The role includes supervising the RCM team, developing billing strategies for capitated and Medicaid FFS, coordinating with payers, and reporting metrics to leadership.